2014-08-13T09:56:00-05:00 2013-09-30 MAINEHEALTH 110 FREE ST PORTLAND ME 041013908 990 2012-10-01 222842655 WESTERN MAINE NURSING HOME INC WEST 2077437086 181 MAIN STREET NORWAY ME 04268 JOHN COX 2077437086 2014-08-06 false 2014-08-13 2012 2015-11-30 17:44:51Z X TIMOTHY CHURCHILL 181 MAIN STREET NORWAY ME 04268 6538691 false X WWW.WMHCC.ORG X 1987 ME TO ENSURE A HIGH QUALITY, ACCESSIBLE, AFFORDABLE AND APPROPRIATE INTEGRATED HEALTH CARE SYSTEM TO IMPROVE THE HEALTH AND WELL BEING OF THE COMMUNITY. 19 14 176 17 0 3379 509 6370002 6521187 312 -77794 10642 16804 6384335 6460706 0 0 4487689 4413020 0 0 2496543 2868240 6984232 7281260 -599897 -820554 1129143 1748180 617853 702444 511290 1045736 TO ENSURE A HIGH QUALITY, ACCESSIBLE, AFFORDABLE AND APPROPRIATE INTEGRATED HEALTH CARE SYSTEM TO IMPROVE THE HEALTH AND WELL BEING OF THE COMMUNITY. false false 6931447 6460006 THE ORGANIZATION PROVIDES LONG-TERM NURSING AND RELATED MEDICAL CARE TO ITS RESIDENTS. SERVICES INCLUDE A RESIDENTIAL CARE UNIT, SKILLED NURSING CARE AND INTERMEDIATE NURSING CARE. IN 2013 THE ORGANIZATION SERVED 31,451 RESIDENT DAYS, INCLUDING 21,799 MAINECARE DAYS. SEE COMMUNITY BENEFIT STATEMENT. 6931447 true false false true false false false false false true false false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 3 0 true 176 true false false false false false false false false false false X 19 14 false false false false true true true true true false false true true true true true true true false false X SENIOR VP - FISCAL 2077435933 181 MAIN STREET NORWAY ME 04268 GREGORY HARDY MD 1.00 59.00 X 0 354341 34441 TIMOTHY CHURCHILL 5.00 55.00 X X 0 320395 56198 JAMES ESHLEMAN DO 1.00 59.00 X 0 259415 22304 WILLIAM L MEDD MD 1.00 59.00 X 0 245434 4346 DAVID KUMAKI MD 1.00 59.00 X 0 225933 22858 ALLEN CONNORS 1.00 X 0 0 0 ANDREA BURNS 1.00 X 0 0 0 PETER CHAPMAN 1.00 X X 0 0 0 C BRADLEY CUMMINGS 1.00 X 0 0 0 TOM MORTON 1.00 X 0 0 0 LARRY FARMER OD 1.00 X 0 0 0 DAVID HOISINGTON 1.00 X X 0 0 0 REV ANNE STANLEY 1.00 X 0 0 0 OLA MELHUS MD 1.00 X 0 0 0 WENDY PENLEY 1.00 X 0 0 0 LYNN HAMPER 1.00 X 0 0 0 DAVID J PREBLE 1.00 X 0 0 0 TED MOCCIA 1.00 X 0 0 0 ROBIN J ZINCHUK 1.00 X 0 0 0 PAT WEIGEL 1.00 X 0 0 0 JOHN COX 8.00 42.00 X 0 189078 30028 M PATRICIA COOK 1.00 44.00 X 0 152552 40556 KATHLEEN HERLIHY MD 1.00 59.00 X 0 160069 31582 1907217 242313 true true false SELECT REHABILITATION 35338 EAGLE WAY CHICAGO IL 60678 PT STAFFING 620429 1 509 509 PATIENT SERVICE REVENUE 623000 6521187 6521187 6521187 191 191 77985 -77985 -77985 -77985 OTHER REVENUE 900099 13563 13563 MEAL DELIVERY PROGRAM 624210 3241 3241 16804 6460706 6460006 191 X 3329483 3169354 160129 106994 101848 5146 741524 705861 35663 235019 223716 11303 22012 22012 1197291 1136954 60337 560 560 620383 615375 5008 18863 17956 907 229239 218214 11025 1072 1072 5471 5471 127275 121154 6121 213557 203286 10271 28274 6383 21891 PROVIDER TAX 379832 379832 MISCELLANEOUS 24281 24281 DUES AND SUBSCRIPTIONS 130 130 7281260 6931447 349813 0 370 370 56251 335071 956305 1184516 13887 12377 3660 2854 289 348 98381 212644 1129143 1748180 511576 467038 106277 235406 617853 702444 X 511001 1045388 289 348 511290 1045736 1129143 1748180 X -820554 1355000 X false true X true false X 180 10 2168 3379 509 6246 6488950 6510309 6488370 6380644 6537991 32406264 6489130 6510319 6490538 6384023 6538500 32412510 32412510 2404 695 317 312 191 3919 2404 695 317 312 191 3919 6491534 6511014 6490855 6384335 6538691 32416429 0.99990 0.99980 0.00000 X false false false false false false false false true 1967 1967 false SCHEDULE C, PART II-B, LINE 1 ALLOCATED PERCENTAGE OF MEMBERSHIP DUES PAID TO MAINE HEALTH CARE ASSOCIATION AND AMERICAN HEALTH CARE ASSOCIATION. 289 59 348 1913 289 1913 289 1913 1913 6235 6235 5235 1000 6235 1.00000 false false CASH SURRENDER VALUE-LIFE INSURANCE 88846 AR UNDER REIMBURSEMENT AGREEMENTS 87251 DUE FROM AFFILIATE 35949 OTHER 598 212644 DUE TO AFFILIATES 222394 PROFESSIONAL LIABILITY CLAIM ACCRUAL 13012 AP UNDER REIMBURSEMENT AGREEMENTS 235406 X INTENDED USES FOR ENDOWMENT FUNDS SCHEDULE D, PAGE 2, PART V, LINE 4 TEMPORARILY RESTRICTED GIFTS ARE UTILIZED ACCORDING TO SPECIFIC DONOR STIPULATIONS. THESE INCLUDE EXPENDITURES FOR CAPITAL IMPROVEMENTS. LIABILITY UNDER FIN 48 FOOTNOTE SCHEDULE D, PAGE 3, PART X THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION AND HAS BEEN RECOGNIZED AS TAX EXEMPT PURAUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION HAS EVALUATED THE POSITION TAKEN ON ITS FILED TAX RETURNS. THE ORGANIZATION HAS CONCLUDED THAT NO UNCERTAIN TAX POSITIONS EXIST AT SEPTEMBER 30, 2013. THE ORGANIZATION'S TAX RETURNS FROM 2011 THROUGH 2013 MAY BE SUBJECT TO EXAMINATION. X X X X X false false false false false false false false false GREGORY HARDY MD 282136 72205 11162 23279 388782 TIMOTHY CHURCHILL 260500 41000 18895 27385 28813 376593 JAMES ESHLEMAN DO 180000 11404 68011 22304 281719 WILLIAM L MEDD MD 225000 20434 4346 249780 DAVID KUMAKI MD 225000 933 22858 248791 JOHN COX 172243 16835 7676 22352 219106 M PATRICIA COOK 135141 17411 18747 21809 193108 KATHLEEN HERLIHY MD 154500 5569 9725 21857 191651 CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PAGE 6, PART VI, LINE 6 WESTERN MAINE HEALTH CARE, CORP. (EIN 01-0411788) IS THE SOLE MEMBER OF THE ORGANIZATION. ELECTION OF MEMBERS AND THEIR RIGHTS FORM 990, PAGE 6, PART VI, LINE 7A THE SOLE MEMBER HAS THE RESPONSIBILITY FOR THE ELECTION OF THE MEMBERS OF THE GOVERNING BODY. DECISIONS SUBJECT TO APPROVAL OF MEMBERS FORM 990, PAGE 6, PART VI, LINE 7B ALL DECISIONS BY THE WESTERN MAINE NUSING HOME, INC.'S GOVERNING BODY ARE APPROVED BY DEFAULT BY THE MEMBER ORGANIZATION'S GOVERNING BODY. THIS IS BECAUSE THESE TWO ORGANIZATIONS SHARE A COMMON GOVERNING BODY. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B THE 990 WAS REVIEWED IN DETAIL BY A COMMITTEE OF THE BOARD OF TRUSTEES. THE PRESIDENT AND SENIOR VICE PRESIDENT - FISCAL LED THE DISCUSSION. SUBSEQUENT TO THAT REVIEW, A COPY OF THE ORGANIZATION'S 990 WAS DISTRIBUTED TO ALL TRUSTEES. THE 990 WAS REVIEWED IN SUMMARY AT A BOARD MEETING PRIOR TO FILING. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C CONFLICT OF INTEREST STATEMENTS ARE OBTAINED ANNUALLY. THE PRESIDENT'S OFFICE COLLECTS AND REVIEWS THE RESPONSES. WHERE ANY REAL OR PERCEIVED CONFLICTS EXIST, OFFICERS AND TRUSTEES ARE EXPECTED TO RECUSE THEMSELVES (1) FROM MEETINGS DURING TIMES WHEN THE TOPICS OF POTENTIAL CONFLICT ARE DISCUSSED AND (2) FROM VOTING ON SUCH MATTERS. KEY EMPLOYEES MAY NOT USE THEIR POSITIONS TO PROFIT PERSONALLY OR TO ASSIST OTHERS IN PROFITING IN ANY WAY AT THE EXPENSE OF WESTERN MAINE NURSING HOME, INC. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A THE PARENT COMPANY OF WESTERN MAINE NURSING HOME, INC. IS WESTERN MAINE HEALTH CARE, CORP. (EIN 01-0411788) WHO THROUGH ITS PARENT COMPANY MAINEHEALTH, HAS A FORMAL WRITTEN COMPENSATION POLICY IN PLACE. IN CONSULTATION WITH SULLIVAN COTTER, THE MAINEHEALTH BOARD COMPENSATION COMMITTEE ESTABLISHES APPROPRIATE COMPENSATION PARAMETERS FOR EACH ORGANIZATION'S CEO AND CERTAIN MEMBERS OF THEIR SENIOR MANAGEMENT TEAM. WORKING WITHIN THESE PARAMETERS, THE WESTERN MAINE HEALTH CARE BOARD DETERMINES THE LEVEL OF COMPENSATION FOR ITS CEO. THE FINDINGS OF THE COMPENSATION COMMITTEE ARE MADE TRANSPARENT TO, AND VOTED ON BY, THE FULL GOVERNING BOARD. THE "TOTAL EXECUTIVE COMPENSATION" IS FILED PUBLICLY BY THE ORGANIZATION, AND INCLUDES "TOTAL CASH COMPENSATION" AND "TOTAL VALUE OF ALL BENEFITS AND PERQUISITES" ASSOCIATED WITH THE POSITION. THE BOARD TAKES NECESSARY ACTION TO PREVENT THE CEO FROM VOTING OR DIRECTLY PARTICIPATING IN THE FINAL COMMITTEE DETERMINATION OF HIS OWN COMPENSATION. THE ORGANIZATION'S EXECUTIVE COMPENSATION PROCEDURES RELY UPON APPROPRIATE DATA FOR COMPARABILITY (E.G. COMPENSATION LEVELS PAID BY BOTH TAXABLE AND TAX-EXEMPT SIMILARLY SITUATED ORGANIZATIONS AND INDEPENDENT SURVEYS BY NATIONALLY RECOGNIZED INDEPENDENT FIRMS). FINALLY, THE ORGANIZATION REFRAINS FROM ALLOWING EXECUTIVE COMPENSATION TO EVER BE BASED SOLELY ON WESTERN MAINE HEALTH CARE, CORP.'S REVENUES OR OTHER SIMILAR PROFIT-SHARING STRATEGIES. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR PUBLIC INSPECTION ARE MADE AVAILABLE UPON REQUEST. OTHER FEES FOR SERVICES FORM 990, PART IX, LINE 11G NURSING SERVICES 305,875 0 0 PT, OT AND ST SVCS 585,056 0 0 MEDICAL SERVICES 232,526 0 0 PHARMACY 8,354 0 0 PAYROLL AND ADMIN SVCS 0 60,337 0 OTHER 5,143 0 0 OTHER CHANGES IN NET ASSETS EXPLANATION FORM 990, PART XI, LINE 9 EQUITY TRANSFER FROM AFFILIATES 1,355,000 WESTERN MAINE HEALTH CARE CORP 181 MAIN STREET NORWAY ME 04268 010411788 HEALTHCARE ME 501C3 11C MEHEALTH false MAINEHEALTH 110 FREE STREET PORTLAND ME 04101 010431680 HEALTHCARE ME 501C3 11C NA false WESTERN MAINE MULTI-MEDICAL SPECIAL 181 MAIN STREET NORWAY ME 04268 010489824 PHYS PRACT ME 501C3 3 WMHCC false STEPHENS MEMORIAL HOSPITAL ASSOC 181 MAIN STREET NORWAY ME 04268 010219904 HOSPITAL ME 501C3 3 WMHCC false STEPHENS COMMUNITY HEALTHCARE FOUND 181 MAIN STREET NORWAY ME 04268 311644144 SUPP ORG ME 501C3 11A WMHCC false CHAPEL VALLEY BOARDING HOME CORP 181 MAIN STREET NORWAY ME 04268 010433206 HEALTHCARE ME 501C3 7 WMHCC false false false false false false false false false false false false false false false false true true false true